When assessing a patient with a fracture, what is the priority nursing consideration?
Monitoring the patient's pain level
Assessing the neurovascular status of the affected limb
Evaluating the range of motion in nearby joints
Instructing the patient about cast care
The Correct Answer is B
Assessing the neurovascular status of the affected limb is the priority nursing consideration in a patient with a fracture. Checking for pulses, capillary refill, sensation, and motor function helps identify neurovascular compromise, which requires immediate intervention to prevent potential tissue damage and complications.
a. Monitoring the patient's pain level is essential, but it is not the priority over assessing neurovascular status. Pain management can be addressed after ensuring the limb's vascular and neurological integrity.
c. Evaluating the range of motion in nearby joints is important for overall assessment, but it is not as critical as assessing neurovascular status in a patient with a fracture.
d. Instructing the patient about cast care is necessary, but it is not the priority consideration when the patient's neurovascular status is at risk.
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Related Questions
Correct Answer is C
Explanation
An avulsion fracture occurs when a piece of bone is torn away by a ligament or tendon, often due to a sudden and forceful contraction of the muscle.
a. Greenstick fracture: A greenstick fracture involves the bone bending and partially breaking, not being torn away by a ligament or tendon.
b. Transverse fracture: A transverse fracture occurs when the bone breaks straight across its long axis, not due to ligament or tendon forces.
d. Impacted fracture: An impacted fracture occurs when the bone fragments are driven into each other, often seen in a fall or compression injury, not involving ligament or tendon tears.
Correct Answer is A
Explanation
An open fracture, also known as a compound fracture, occurs when the bone penetrates the skin and is exposed to the external environment. It carries a higher risk of infection due to the exposure of the bone to external contaminants.
b. Closed fracture: A closed fracture, also known as a simple fracture, does not break the skin, and the bone remains enclosed within the body.
c. Impacted fracture: An impacted fracture occurs when the bone ends are forced into each other, commonly seen in long bones such as the femur. It does not involve the bone penetrating the skin.
d. Stress fracture: A stress fracture is a tiny crack in the bone caused by repetitive stress and overuse. It does not involve the bone penetrating the skin.
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